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Intestine-Decipher Engineered Capsules Protect Against Sepsis-induced Intestinal Injury via Broad-spectrum Anti-inflammation and Parthanatos Inhibition.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)2025-01-22PubMed
Total: 75.0Innovation: 9Impact: 8Rigor: 6Citation: 8

Summary

An oral, pH-responsive capsule delivering macrophage membrane-coated olaparib nanoparticles targets injured intestine in sepsis, neutralizes cytokines, inhibits PARP1-driven parthanatos, reduces bacterial translocation, and improves survival in mice.

Key Findings

  • Macrophage membrane-coated olaparib nanoparticles (OLA@MΦ NPs) in pH-responsive capsules resist gastric acid and release in the intestine, targeting injured tissue.
  • Released nanoparticles neutralize pro-inflammatory cytokines via macrophage membrane receptors and inhibit PARP1-mediated parthanatos in intestinal epithelium.
  • In septic mice, the therapy reduces bacterial translocation, attenuates sepsis progression, and improves survival.

Clinical Implications

If translatable, intestine-targeted, macrophage-mimetic nanoparticles could complement standard care by protecting the gut barrier and modulating hyperinflammation in sepsis.

Why It Matters

Introduces a dual-function, host-directed oral nanotherapy that addresses intestinal barrier failure—a central driver of sepsis progression—with survival benefits in vivo.

Limitations

  • Preclinical murine study; human safety, dosing, and manufacturability remain untested
  • Potential off-target immunomodulation and long-term effects of PARP inhibition in the gut are unknown

Future Directions

Evaluate pharmacokinetics, safety, and efficacy in large animals; optimize capsule release profiles; and investigate combinatorial regimens with standard sepsis care.

Study Information

Study Type
Basic/Mechanistic research
Research Domain
Treatment
Evidence Level
V - Preclinical therapeutic study in murine sepsis models
Study Design
OTHER